Provider Demographics
NPI:1336318799
Name:PARKHOMOVSKY, IRINA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:PARKHOMOVSKY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 FIFTH AVE
Mailing Address - Street 2:SUITE 5115
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10118
Mailing Address - Country:US
Mailing Address - Phone:866-696-8773
Mailing Address - Fax:212-928-9545
Practice Address - Street 1:350 FIFTH AVE
Practice Address - Street 2:SUITE 5115
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10118
Practice Address - Country:US
Practice Address - Phone:866-696-8773
Practice Address - Fax:212-928-9545
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant